NATIONAL AURICULA & PRIMULA SOCIETY
MIDLAND & WEST SECTION

Application for Membership


Please complete, print and post this form with a Cheque or Postal Order
(payable to: N.A.P.S. Midland & West Section) for your subscription of
       £8.00 UK Single or Family Membership
  or £10.00 Overseas Single or Family Membership
(Renewable as from the 1st of January each subsequent year at £8.00 UK Single or Family Membership or £10.00 Overseas Membership)

to: The Honorary Secretary,
David Tarver,
9 Church Street,
Belton,
Loughborough,
Leics,
LE12 9UG
United Kingdom.


Name(s):
Address:
Post Code:
Email:
(optional)



I/We apply to join the National Auricula & Primula Society,
Midland & West Section and enclose £


Signature(s): Date: